HomeMy WebLinkAbout10072023 Pony Up for GAITAgency Report of:
Ceremonial Role Events and Ticket/Pass Distributions
1. Agency Name
City of Temecula
or Region (if applicable)
City Clerk
Designated Agency contact (Name, Title)
Randi Johl, Director of Legislative Affairs/City Clerk
Area Code/Phone Number E-mail
(951) 694-6421 1 randi.johl@temeculaca.gov
2. Function or Event Information
Does the agency have a ticket policy?
Event Description: Pony Up for GAIT
Provide Title/Explanabbn
Ticket(s)/Pass(es) provided by agency? Yes ❑ No ■
Yes 0 No ❑
Date Stamp
A Public Document
For Official Use Only
❑ Amendment (Must Provide Explanation in Part 3.)
Date of Original Filing:
(month, day, year)
Face Value of Each Ticket/Pass $
Date(s) 10/ 07 If 23
If no: Green Acres Interactive Therapy (GAIT)
Name of Source
300
Was ticket distribution made at the behest Yes ❑ No ■ If yes:
Official's Name (Last, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
Number
of Ticket(s)/
Identify one of the following:
(Last, First)
Passes
Ceremonial Role ❑ Other 0 Income ❑
Stewart, James
2
If checking "Ceremonial Role" or"Other"descnbe below:
Advertise and Promote the City of Temecula
Ceremonial Role ❑ Other ® Income ❑
Kalfus, Brenden
2
/fchecking "Ceremonial Role" or"Other"describe below:
Advertise and Promote the City of Temecula
Name of Outside Organization
C.
Number
of Ticket(s)/
Describe the public purpose made pursuant to the agency's policy
(include address and description)
Passes
4. Verification
/ have read and understand FPPC Regulations 18944.1 and 18942. 1 have verified that the distribution set forth above, is in accordance
with r uirements. Director of Legislative Affairs /
Randi Johl City Clerk 10/9/2023
SidZ4kur gency Head or Designee Print Name Title (month, day, year)
Comment:
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)